Pathology Associates of Texas – Anatomic Pathology & Clinical Pathology Physician, NPI 1700860434
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Pathology Associates of Texas
1301 Pennsylvania Ave
Fort Worth, TX 761042122
Phone: (817) 250-5600
Type: Location
108 Denver Trl
Azle, TX 760203614
Phone: (817) 444-8630
Type: Location
10864 Texas Health Trl
Fort Worth, TX 762444897
Phone: (682) 212-2100
Type: Location
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
SUITE 400
ADDISON, TX 750013614
Phone:
Fax: (610) 271-4245
Type: Mailing
1401, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761042113
Phone: (713) 432-1100
Fax: (713) 432-0221
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-03-31 (69 days ago).
Enrollment records
1
Earliest due date
2026-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031201000711 | O | Clinic/Group Practice | TX | 2026-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76104)
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